Individual
MRS. KIM KRISTINE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N6260 COUNTY RD S, PLYMOUTH, WI 53073-3800
(920) 893-5650
Mailing address
N6260 COUNTY RD S, PLYMOUTH, WI 53073-3800
(920) 893-5650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1106-019
WI
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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